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Home My WebLink About79-00690 ..: H ~ ~ ~ 1>3' II ~ " ~ ~ r4 ' ~ I I' o '0') r.D, :I '& , I~ UI '0--, ...... ..:. N Nt) ~"": ''''(~; , . ,. j"'J /. ,"')I, , "., PETITION FOR LETTERS OF ADMINISTRATION IN THE ~;STATE OF ........F..r:~.~...\".~....~l1.El.s.~n.\J.~................ DECEASED. I " ci: } 'fo ............................""...".,,,............,,,.....,,............,.................."............."...,........... Register of Wills 1'01' the COllnty of ('Ul11hel'ialld. ill llll~ ('OI1l1ll01l\\'e:tlt h of P"IlIl:"yh':lllia. The Pcti l ion of .....,(;.~.<?.r: .i.~...f>: .'.... ~.l1~~1;n.~. L..... ................... ......... ............................. ................. ..... ...... Fred W. Ches tnu t ut the age of .......,..".... ~'eat.~, That the said .......f.I:.~9...W.,..C)).~.$.t.n),\t................. .......... deeea""t, left wl'\'ivillJ( the fol1owinl( named widow or husband, heirs and next to kill, to wil: Name Eugene W. Chestnut Relatiollship HCHillenc(! Son R.D, 3, Newville, FA .. ..........",..... ..... ..,...... ...... ............"...,....~. ................................................................ ,.....,................,.......,,,.....,.... .. ~~.~.i. !}.~.. .l>:.~.... ~.11 re. ~.~re.~................. ..~.~.~!:X....E.:....~~.~.~.~.n.':1.~................. Cindy I. Chestnut ..... .P.~),\ 9.11t. ~I................. Son ......... R" P. ,.... ~.,... .N.~\'!.l(.iU ~.... Ji'.I\.... ....,....................................... ....,........................................................... Daughter .............................,.................................. R,D 3, Newville, FA Box 106 ................................................................ ............................................ ................................................................ ............................................ ......)3.,.P.'...)"....~,q.<I..J9.R.'....Ng~(()!.i 11 e , .... ..~.:.~.:....~.!....~.o.~...~ ~.~.!....~.~:-!.~.~11 e , Cher1ene Chestnut ................................................................ Gloria A. Chestnut ......'?~~9.!'!.i:El.r.................. Widow .............................................................." ....,,,..................................... ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ That those above named include all of the next of kin, so far as known. The said decedent was posscssod of personal property to thc estimated value of $........n.?n..~................ and of Real I~state, legg incumbrance, to the estimatNI value of $......~9n~...........".... as near af; can be ascertained. That the said Reai Estate in so far as is known is located in ......~l!::.................................................. ........................................................................................................................................................................................ Therefore, your petitioner(s) respectfully' apply'(ies) for Lettel's of Administration in the above named estate. Dated ...........~.?.".~~?.~.r..J?.~....... A. D, 1~1.....79 Signature and Address y" I I A ;; Ii ~, 1:-:",,1-.4. ,:"", ,,,,,-. .(:1... ..i("/~ cd <':I!,f.~..(........................ of PelilioIWI'{:-;) ....... .R.-. ~I)~. ~~.~...... .B.~lC:.. .1.~.~...................................... Newville, Pa. .........................................................."............................ .................................."................................................. COMMONWEALTH OF PEl\l\SYL\'AJ'IA 1 ~ ~s: COUNTY OF CUMBERLAND I ......... ....... ..........q.~.9I.i.~... P,o, .'....~h.~.s.:t;" "!.1:.. ............................................ .................. named in the above application being- duly .......swor:n........... . ..... according- to la\\". :,ay that the fact~ ~et forth in the abo\'e application are t,'ne 10 the b,'S' of . her.. knowledgl> and ".elil'!' ..........~.~9.J:t:l. .. . ... ...... and subscribed 1 ;",'/.b..... .;.,,~.II.....,,:.Lq,.;;,^,('.......... ..... I , , I Hi7.9... I before me, ~Olt ca!1.~.~.~.......... A. Il., mmm ... ..t>...~~ ",,;;;,; Filed: ......l-loyl'!I11P.~r 21,.1979.... . ....-.. At torlll'.": Edwa:r:.dE. .G\I;d~ --)/ . '// . ".-j , , .,,1.-;-. j t)\"l'rl OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUJIIBEHLAND } "": Gloria A. Chestnut .... .................. ...... .................................... .............................................................................................., peti tioner (") being duly ........~.~~~.~..................................... according to law do ............ depose and Hay that as the administra .~!:.~.~..... of the estate of .........~~.~~..~:....~.'::~~.~!1.~.~.................................................................. .....,..................................................................."............................................................................................................. deceased .......s.ne.......... will well and truly administer the goods nnd chlltte!s, rights and credits of said deceased, according to law. And also will diligently comply with the provision" of the law relating to Transfer Inheritances. ........1';.1:I9.1;:J.\..................................... and subscribed before me. ~...:;d..~.?.~~r.;:~E.J~.!............... A. D., I9...?9.... ~~:&:m~.>!"""'................ DECREE .;!:It.:{:':.:.,,;{,~...A....{{K{,:k.2.~;Z............................ ............................................................................................ . 21st. November 79 Be It remembered that on the ................................ day of ................................................ A. D., 19.......... Letters of Administration in the estate of .....f.r..'?~...~.,....q.I:\~.~.t!).\!.t/....g~S~.~.l?~.g................................... ....... .................. ......................................................... late of ...... N e.w.v..ille.. ................ .......... ...... ...... ........... ....... C b I d C t P I. d ., t d Gloria A. Chestnut urn er an Qun y, ennsy vania. eceased, were glan e to ...................................................................... ........................................................................................................................................................................................ Witness my hand and official seal the day and year aoresaicl\ ...... ....... ~);,]v1~.h.~.........oe51~t:f........ ~...t..\ '-.... Register /' r. (~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 55: __ (~LOL~.!lJl.",-gJ.lC?tnlll ._---,,-----_.._.._----~-_._._---- - being duly _Q.\'I.Q.l:U_ ___ ___ according 10 law, deposes and says that she __<;~l.or..ia__lI-,_~ILeJ:;j.n\L\._ l\dmi)1_~~~-l~':l1:r:Lx--n- __ of the Estate of f n.d I.i. l'hE'S tnu t late of __ Ne'liv}-llp . .--.--- ----, Cumberland County, Pa., deceased and that the within is an inventory made by _____ _Gl.Ql:J <lnhLCh<'_li:lmH __ _m__ _______, the said l\dn; in if 'era tr ix of the entire estato of said decedent, consjsting of all the personal prop.rly and roal ostate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite oach item of the Inventory represent it's fair valu. as of the dato of decedont's d.ath. 7_,(,- ;) ..:J ,. 19 e oJ J2;J // 'A 4./:." ~ JrJ-t::L<4.L~ ., d ---- Exec:utor . Adminidrator Swcrn and subscribed before me, ~cu---'-~[.~'-- [J)o",-JL1 <;)_, r-....:l:::........... P.EGIS"R OF WILLS CUM- .B.E.RL;.t.~.O...~U.N.~Y.: PEHNA, My Cl)mm;s~ion Expiros lhe First Mond,lV in Jan. '901. /ica-? 9 Cl" ///,0J /t..L.<~<'-----(,LCc Addnn D.y ~lay Month J.979 Date of Death 20 Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional a"ets. 3. Additional sheets may be attached as to personally or realty 4. See Article IV, Fiduciaries Act of 1949. , , I >- J -0 ','l ~ t." .... w ~ ~ '" .... ~l ~ c' w <( w "- .... u - ~ 0 V> ..... ill w 0 W W C '" >- J: '" Ul. M ~ ~ I- "- LL '"I :::11 .) "- c Z .... ...J ~ ~ ...J <( 0 5! "- I); 0 LL ;.1 :l: , w 0 <( w .;. Ii > z '" ,,:1 ~I - <( Z 0 c II C .,., I.-~ ~ ~ ..~ 0 I' V> z 0 <I '" u z 'I '" <( 'C' I .... "- Wi "tl [, l-<' , c ii "", - ~ , Ii 0 w -" "tl .... w E - ..!! 0 ~ ~ 0 -' U i.i: '" I , i , I I I , I I i I ! , I 1 i , i Invontory of tho roo 1 ond porsonol o.tot. of Fred vl.n ChNd:nu t docoased. (1. ) BluE' Shield Check No. 0164 G4 " (2, ) Blue Shield Check No, ~9R4742 (3. ) Blue ShiEld Ched< Nt", 59'/ (,[112 (4. ) Blue Sh iel (' Check NO. (unknOvm - not 'let rc'ce i VC(J) $ 1200 00 338 00 2 00 160 00 , Rlq.l03l3.731 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION INHERITANCE TAX RETURN FOR INSOLVENT ESTATES ONLY OF RESIDENT DECEDENTS * COUNTY OF Cumberland This return must be completed in dotoil and filod in duplicate, with tho Register of Wills in tho Counly whero the decodent resided within nino months after doto of death, unloss on axtonsion '5 granted by tho Secretory of Revonue. Will 21-79-690 79 "dmn. No. 19_ I, Gloria A. Ches tnu t of R.D. 3, Box 106, Newville, PA It~AME) I ADDRESS) Misc. heing duly sworll according In law. dCJlll\;CS and says that he is the ___ Adm in is tra tJ; ix. _.______~_.__ (EXEC" AI1M., LEGATEE, ETC,) of the eslllle of -ErednW..Ches~tnu t ~~_..~ Illle of.__N-6'l.villa________.. ICilY, BOROUGH, OR TOWNSHIPI deceased, und thai the whole of the estate of said dCl,;cdcnl, who died on May 20, 1979 - ------~-"'.-- ---(i:i.^T-EI~------._-~-~- consisted of the assets listed below and that allowahlc dehlS and deductions exceeded tht.: f"ir market valuc of the assets and no Pcnnsylvania Transfer Inheritance Tax is Juc. fI' ' (j ,; L- .Lu.~-j:L...?:'j;4/ ~?? (SIGNATURE) 4-I.L/.1J-I------- ( TITLE) Comminion Expires ASSETS (Attach additionol sheets if necessary) Descrlption of Assot Estimated Market Value Deportment Voluotion CAUTION (Do not wrlto in this spoco) Personal Blue Shield Check NO. 6164645 1,200.00 Personal Blue Shield Check No. 5984742 338,00 Personal Blue Shield Check NO. 5976012 2.00 Personal Blue Shield Check (unknown, expected) 168,00 TOTALS 1,708.00 I 70P, b--() REPORT OF INllERITANCE TAX APPRAISER -&J1f{ I, the undersigned duly appointed Inheritance Tax Appraiser in ano for the above County do respectfully report that I have appraised the real and personal property as reported in the foregoing schedule at the values set forth opposite each item in the last colomn to the ri.ghl. ~'/ . 1?f~i 1.) l-lurch 6 1980 ."ff J ) ( ".;, Dated: ' (INHERITANCE TAX APPRAISER) Nome of Payee DEBTS AND DEDUCTIONS Nature of Claim Amount Cloimed Amount Apploved by Register G. Book Roth Funeral Home Burial Harrisburg Hospital Last Illness Gloria Ches tnu t Family Exemption Messner Medical Assoc.Anesthasia 5/11/79 Charles T. Isaacs, M.D. Anesthesia 5/11/79 Neurological Surgery Ltd. Surgery 5/11/79 $ 1,895.00 11,230.70 2,000.00 340.00 168,00 2,419.00 TOTALS I $18,052.70 I'i: 05;) ?O REPORT OF TilE REGISTER OF WILLS I, the undersign~d duly cleclcd Register of Wills in and for the abllve County, do r!.:spl'ctfully report that I hav~ allowed deductiolls in the amounts set forth in the above sch!.:dule .IS claimed, t.'xc!.:pl wh!.:re I have :-.cl forth a greater or lesser amount in the last CIllomn W Ihe righi, whieh grealer or lesser am"''''' rei"n:S~1 SUIll llllowed as a deduction. Date of ,\pr",vlli1J~ (/1 ~f\\ ~ c~ 7<, ~ ';/,~l~ o&w~ ~c:-;J~ I O'~7q~. --S~\ '-~ I ~I 0 ~ f-< ~ w OU Z . "'~ w < ~ w '" u I w '" UJ 9 ...J - ... ..: +' <l I 0: ::I ,~ VI .-l 0.. tJ.. l:: c :;;: N 0.. 0 +' "d ~ "" .; w ..: w w Ul l:: .;: 0- Z :z: :z: OJ OJ <ll ~, 0- .... W l- f-< .l:: .-l .-l , <l i= .. ..: c 2'i 0 U .-l "" c Q f-< 'M OJ U Z UJ Co tJ.. W . :> ,Q ~ <l ,,-.-.. 0 :;: " S 0 I- OJ c 0: "d Z U -5 "" .~ W 0 OJ . 0- . f-< "" 0 ::: f-< r.. ~ ~ w 0 c "" . ..: ~ c 'c :E 0 e- E -e 0 c E 0 ::-0 ;; 0 0 ~< ..J U U , , COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '* COUNTY FILE NO: ex I .- ') C) (. I..; () , \ TO: ~ ()" "(' el \J lL,'r.., .~ L ~ ~ ~I 1L, 'i.~'1. .:;~ L0t.LJ~, \'t" 1']0/3 DATE "'tyl,v\ !,1 ! (II V lAv.~~l\ 1:1 c ; ",.) () COUNTY ). '.J' ( I)} ~! I) ft. (,,0'0 ( /\)~-JoJ v -' ~ DATEDFDEATH'-'n-i(\(' dU \0/)7 (< CA\ ~;Jrr\j J!J;\A, ) 'I ESTATE FILE NO. Appraised Value of Estate: Real Estate $ --- Personal Property + jflIJg'.nu -. Jointly Held Property/Transfers + Clear Value of Estate $ ) '7(; f( () 0 I k (j 5,;). ') U ~~ ~, .t"\ I: \l s ::)\Yi_. T~ 1ivI._ Total Gross Estate Total Approved Deductions Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax s Amount Taxable @ 6% Rata s tax due ~)<l1(k \Nl..:9\n.~ Amount Taxable @ 15% Rata tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE $Q~"I~,^,~.TW\:: '* '* * * '* '* A five percent discount totaling S will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT $ + $ $ = $ + = + = Interest accrues at the rate of six (6) percent per on the unpaid balance of Inheritance Tax from to date of payment. lnlerest due if paid by annum is $ Uv, O.L..I"~ I .-.~ ...1' ( (' ""1 ('li ll);'t., BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE . \\;\ ^ --- '\ '" \\ 1.::' Assessed by: '"(1-.,1, I 1 See InlormBlion on Reverse Side. " <' A,~.nlfOr1h.e.~ommol~~ 1 (j';Lt\'-C'~'1 !\<lLyv) '.\ \ (,) INFORMATION To insure proper credit to your account, tlw ""mn of th(> l!slnIC' llnd jill~ nurntJf!r should be cloarly prmt- ed on the check or money order. This assessment is mado In aecol dance \\'tlh Sectlon 708 of Ihl! tnlwrilance and ESlHtc Tax Act of 1961172 P.S. S 2485.7081. To the extent that inheritance lax is paid within three l3l months after Il1e death of the decedent, a discount of five (5) percent is allowed (72 P.S. ~ 2485-716) Inheritance Tax, other than lax on a future interest. is due at the data of tile decedent's death and becomes dellnquent at the expiration of nine (9) months after the decedent's death (72 P.S. 5 2485-711). Inherilance Tal( on a future interest is payable within three (3) months after tIlt! transfer takes effect in possession and enjoyment and is delinquenl thereafter (72 P,S. ~ 2485.712). Calculate interest from the delinquent date shown on the face of this form to the date of actual payment using the following interest table: ------------------------------- --- ---- -------- - - - --- - ----- .~----- -- -- -- - -- -- 1 month .005 4 months .020 7 months .035 10 months .050 2 months .010 5 months .025 8 monthS 040 11 months .055 3 months .015 6 months .030 9 months .045 12 months .060 1 days .00017 11 d<iY~, .001 86 21 days .00352 2 days .00034 12 days 00203 22 days .00369 3 days .00051 13 days .00220 23 day. .00386 4 days .00068 14 days .00237 24 days .00403 5 days .00085 , 5 days .00250 25 days .00420 6 days .00101 16 days .00267 26 days .00437 7 days .00118 '7 days .00284 27 days .00454 8 days .00135 18 days .00301 28 days .00471 9 days .00152 19 days .00318 29 days .00488 10 days .00169 20 days .00335 30 days .00500 -- - -- ------ ----- ----- -- - - --- - - - -- -- - - - ---- - - - --- ---- - - - - --------- ----~_. Any party in interest, including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (60) days after receipt 01 U1is Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 ps. ~ 2485-1001}. Make check or money order payubte to: "Register of Wills, Agent" Mail to the address listed below: